Provider Demographics
NPI:1548319072
Name:PICKERING, JOEY DD (MA, LMHC)
Entity type:Individual
Prefix:MR
First Name:JOEY
Middle Name:DD
Last Name:PICKERING
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 S ORCAS ST
Mailing Address - Street 2:SUITE 218
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-2652
Mailing Address - Country:US
Mailing Address - Phone:206-550-3830
Mailing Address - Fax:888-965-3605
Practice Address - Street 1:650 S ORCAS ST
Practice Address - Street 2:SUITE 218
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-2652
Practice Address - Country:US
Practice Address - Phone:206-550-3830
Practice Address - Fax:888-965-3605
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2020-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010832101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health